1756 Hickory HillCITY OF EAGAN
Lot 14 Blk
Improvement Date Amount knnual Year Payment Receipt Date
STREET SURF. 1 8.52 1.70 Pai
STREET RESTOR, a js 1976 1034.75 •2 Paid
GRADING
SAN SEW TRUNK 1974 114.72 .fj 1 P&ld
3£. SEWER LATERAL '3 1976 O68 ? 1022.90 3 P31
WATERMAIN
# WA7ER LATERAL 1976
WATER AREA 1976
# STORM SEW TRK 1976 3
.?. STORM SEW LAT 1976
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 1 O.OO 130911 ^2-
BUILDING PER. 3 37 13024 -7
sAC 25.00 1309 -2-7
PARK 120.00 1309 -7
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ?.,.. ?
- PHON E: 454-8100 .
BUILDING PERMIT ? - Receipt
To be used for Est. Value 420." Date 16 ,19
5ite Address 1756 H? C:KORY id 11,L OFFICE USE ONLY
Lot BIoCk T Sec/Sub. ???? 2FM On Site Sewage Occupancy
MWCC System Zoning
ParCei No. W
ll A
l
On Site
e ctua
) Const
(
GrUC-1: WILLIA013 CiryWater (Allowable)
oc Name
W 29131 :? I?,? K?,1Jl? RD
Address PRV Required of Stories
-
3
0 City `- ?'?4N Phone 4Sf?"31'?3 Booster Pump Length
Depth
o Name VALLBY IF;Y,iE31"MSNT$ CO1QS't' S.F. Total
,
o? Address 3770 80 LI&xxNM031 Footprint S.F.
U? City EA?AN Phone 454"5191 APPROVALS FEES
? a Engr./Assess. Permit ?` I86• Un
W W Name 10
W
?
= Planner Surcharge .
Address
Council Plan Review
4 W City PhOn@ Bidg. Off. SAC, Ciry
I hereby acknowledge that I have read this application and state that the
inlormation is correct and agree to comply with all applicable State of Variance _ SAC, MWCC
Water Conn.
Minnesota Statutes and City of Eagan Ordinances., Water Meter
Signature of Permittee Road Unit
A Building Permit is issued to: .1i Treatment P1
on the express condition that all work shall be done in accordance with all
Parks
applicable State of Minnesota Statutes and City of Eagan Ordinances. `i ? "h.l?0
TOTAL
Permit No. Permit Holder Dste Telephone it
Plumbing
H.V.A.C.
E lectric
Softener
Inspaccion Date Insp. Commenta
Footings I
Footings II
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul. ?
/
Fireplace
Final Htg.
Final Plbg.
Bldg. Final
Cert. Occ.
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Disp.
3795 Pil
Eagan, M
Zoning:
Owner:
Address
Site Adc
Plum6er: Th4[nocon Fl ?mh?n4 Co
Meter No,4-<-???? Connection Charge140.00 yd_._
? Size;-??? - Account Deposit:
L-R"eader No.: Permit Fee: 10.00 pM?
C ? 7
1 agrea t?o ply with eha Vilbga of Eagon Surcharge: .50 ?1-
, OrdinanEesqo ?L Misc. Charge
Total:
By ? Date Paid:
; Date of Insp.: lnsp.:
--
SEWER SERVICE PERMIT
?;B OF EROIIN
y??I "°?2462
.
3795 Pilof Knob Iload :
PERMIT NO. 4/9/75
Eagon, MN 35121 DATE:
Pttn - No. of Unite:
Zoning:
w xorizon Homes Woocl ate II
owner:
AddYess:
756 Flickor Hill
Site Address:
Plumbin Co.
Plumber: Thom son
6425 00 pd _
of Eagae Connection Chaz
ll
V
apa
i
I agna to eomply with fha
Account Deposic:
00 ? pd
10
.
Permlt Fee: ?
SurcharBe:
Misc. Chazges:
By:
Total:
Date of Inap.: Date Paid: ,
Inep.:
E OF EAGAN WATER SERVICE PERMIT
ot Knob Road PERMIT NO.: 1702
DATE: 4/9/75
N 55122
PLJD No. af Uni[s:
. i.
CITY of EAGAN N4 3537
BUILDING PERMIT
Owae: 3795 PiloY Knob Road
.... tl.il ...................... .... ....... .........
?? SS3?f? Eagan, Minnesola 55112
Addsase (Preneni) ......................................................../..................... 459-8100
Suilder .............................................................................................. ,/ a.- 7S'
. Dals .......7 .. ...............................
Addrew ......................................................................................
DESCRIPTiON
BSor?ec To Be Used For Froni Dapih Heigh! Eet. Cos! Pexmi! Fsa Aemesks
ac?,s?
f LOCATION
Slreet. Aoad or olhex Deacriplion oi Localion LW Block Addition or Ttac!
,4r '?..?,!<.??2 /'/- -/'7 I
//- ii-,1 ..??1-Ig
This permit does aot aalhosize the use of streels, :oads, alleys or sidewalka nor daes St give the owner or hL agent
the sight to esea2e anp silualion whieh is a nuisanee os which preseaYS a heaard !o the heallh, safalp, ooavenisnca and
generel welfare !o anyone in the communifp.
THIS PERMIT MUST SE KEPT ON THE PAEMISE WHILE TFIE WOAK IS IN PAOGAESS.
This is 1o ceriify. !hal....7:?1 ..... ............. ?...?. ... . . ...........has permiasioa !o erae! e...1.L... ......... .......... .......... _upoa
the above desaribed premise su6jecY io Shpi?ovi cns of all applicable Ordinaztces for the Ciip of agan.
..................................._. 9J"^^-'?
..""'"" .............._...&.:...i""""V.,,G?.." '._.. t- ...... pe! ..............................................
• - . ...... .. .....................
........'.'.''.'.'
Mayor 4B Bvllding Impeelos 43
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 27-199, Eagan, MN 55121 N? 15789
O 8(a S.?
BUILDING PERMIT PHONE: 454-8100 Receipt u o
Tobeusedfor FIRE REPAIR Est.Value $20,000 pate OCTOBER 26 ,19 88
SiteAddress 1756 HICKORY HILL
Lot 14 Block 7 Sec/Sub. WOODGATE 2ND
Parcel No.
a Name GEORGE WILLIAMS I
= Address 2981 PILOT KNOB RD
? City EAGAN Phone 454-3163
a Name VALLEY INVESTMENTS CONST I
0
00 Address 3770 SO LEXINGTON
? City EAGAN phone 454-5191
?- ¢
"w Name
FW
qg Addre
U
aw C1tY_
I hereby ecknowledge lhat I have read this applicaM1On and state that Ihe
informehon is correc nd agree to comply wdh all apphcable State ol
Minnesota Statute and ty ?of ?E?ag"anO?rdi ce^? k
Signature of Permit _ _?.ne,/. ??..a
A ewldmg Permit is i u to:??--
ontheezpresscondrt thatallworkshallbe %.ne
applicable State of Minnesota Statut and Ciry of Ea?g O?rdjna/n/ce?s.
Building OHiCial_. ?yiY?/=?
OFFICE USE ONLY
On Site Sewage _ Occupancy
MWCCSystam _ Zomng
On Site Well _ (ACtuap Const
CiN Water _ (Allowable)
PRV Required _ u of Stones
Booster Pump _ Length
Depth
S.F. Total
FootDrint S.F.
APPROVALS FEES
Engr/Assess._ Permit . 186.00
Planner Surcharge LO.Q.O
Council Plan Review
Bltlg. Off SAC, City
Variance _ SAC, MWCC
WaterGonn
Water Me[er
n
Road Unit
3NS r TreatmenlPl
Parks
TOTAL $196.00
h , I
7
CITY OF EA(}AN
3795 Pilot Knob Road ' . " 'ty• ' , r •'„z„ ? ??
Eagan, Minneaota 55122,04, ''•.. v:
. ,;:s- • . ,
1'EFtMIT NO.:
599
Tk=e City of Eagan he^eby grants to
o f Sedgti+ick Heating?
•,cria Ave.
" Permit ior:
( Owr.er )
IiEAT G ..-
??` 6 ? ?1Z.`iQ,. and 1745 p t r,'u- "0r. i.zon - Ybodgate
1761 Walnut Lane
Fee ?'aid: 3/1?/75
dated this day of ? ;?
$160.00 13
4.00 s/c Mar. 75
P?Y':71L8:
.:?.C. T"tu1C
Build_ng Inapector
clrFY oF EIA^'?rr
3795 Pi7,ot I:nnb toaa
Ea,,Ln, Mi=E?cota 55122
FEE'•ffT NO.: 794
T:,e City of Ea.gan he^eby gr2nts to Geo. Se.dac.ick Iieating & A[C ____
cf 1001 ;Lenia Ave. So., l..ls. 55416
'?_?.._.?
a AEATIi1G ?%IJ Pe.mrit for: (Owner) New Horizon FIOnes - Woodsate
at 1756 IIickorv-Hill F'si'suant to apolication dated 2/76
?'??
Fee Paid: _ g24.4Q- dated this 12 day oi February ? 19 76 >
.50 s/c
UuilC:ir.g Inspectoi
P?eckzanical_ Yerrrii,s:
Bicl Totai.
CITY OF EaGAN
3795 pilot Knob Road
Eagan, Minnesota 55122
PERNIIT NO.: 554
The City o£ Eagan hereby grants to ThomPSOn Plumbing Co.
of 12801 '•finnetonl:a Plvd., Minneton;ta
a PLUbtB2NG Permit for: (Owner) New HArizoA - Woodgate II -
1756, 1753, 1760, 1762, 1764,11ickory Aill and 1755, 1757, 17511 1761, 176L
atr, 1,765 Walnut Lane , pursuant to application dated 4/7/I5
Fee Paid: 5220.00 dated this 9th day of rF=il ? 19 Is .
5.50 s/c
Building Inspector
Mechanical Permita:
Bid Totalc
SPERD
ro Ragan Village Hail
aEvvERO
FROM DAknta C'nunt3r Ahvtraet ('n
SUBJECT-SpeC131 ASS255II12ritS
-NO. 9 9 10 FOLO
Pfl IE S S A GE DATE Novamhar 24_ 1q-76_
and return receipt
DATE 79-
-NO. 10 POLU
SIGNED
?••SNAP.P-WAT" FORM 00.902 3 PARTS . . 676
ssi • rainreo ix U.S.A. RETAIN WNITE COPY, RETURN PINK GOPY
wnsox Joxss comrnxx • 0,
1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN
r • ) ? l,
SINGLE FAMILY DWELLINGS c "
. f_
INCLUDE 2 SETS OF PLANS? 3 CERTIFIC9TES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTEs ADDRESSES FOR CORNER LOTS - CONTRACTOH/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CAANGES WILL BE ALLOWED ONCE BIIILDING PERMIT IS IS3UED.
MULTIPLE DWELLINGS RENTAL UNITS FOR SALE fJNTTS # OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITA BLDG. DEPT.P
1 SET OF ENERGY CALCULATIONS
CONAfERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OE SPECIFICATIONS AND 1 SET OF ENERGY CALCIILATIONS
-To ?ui<.c? ,e? f7- A-YnrtGEfJ ?"srnlG
To Be Used For: 1f Valuation: 4 0 4eyd Date:
Site Address Z75(0 77?ICf?(1??1 ??ILL OFFICE USE
Lot ? Block i? On site sewage_
- ' MWCC system
Pareel/Sub On site well _
/? ??) ? City water _
Owner (?]?F),P?'? W/?/1Y'G?1 S PRV required _
? r? Booster Pump _
Address /lGfJ% TVVO? ?City/Zip Code F0406-1-i M N 5571-
Phone Zfsv- ,63 I APPROVALS
Contraetor
Address 37 70 J- L=K(.)GTdI'd
City/Zip Code -PWG/jPJ 5-5-/.;ti-3
Phone ?J q ' 7 ?q (
Areh./Engr.
Address
City/Zip Code
Phone #
-Engr/Assess
Planner
Council
Bldg. OfP.
Variance
RM"I 6CT 2 6 qg;
Occupancy 19-3
Zoning
Actual Const
Allowable
# of stories
Length
Depth
S.F. Total
Footprint S.F.
FEES
?
Permit 186,
Sureharge , VO
Plan Review
SAC, City
SAC, MWCC
Water Conn
Water Meter
Road Unit
Treatment P1
Parks
Copies
TOTAL I 6'ov
-.i..f?++?.f".i...__,:s-.-- .. -.>.,...-.-. ?i.a_.•.-•__?,:?:,',...<.-.sa?r?.i.t. ..-...x -?..<..?.?r&dt..i:.ro..•-?:aiL?6.Mjfr::`&?a'4i?°5'.Y'+?°
S 3 5 3.S' RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EACAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4875 j ? 3 , -7 IS-
New Construction Reauiremenls
. 3 2gislered sRe surveys showirg sq. il of lot, sq. ft. of house, and all roofed areas
(20°k maximum lot coverage allowed)
. 2 cropies of plan showing beam 8 windaw s¢es; poured taund desgn, etc.)
• 1 sel of Energy Calculalions
• 3 wpies ot iree Preservalion Plan if lol platted after 7/7193
. Rim Joist Defail Optiore selection sheet (61dgs wiM 3 a less unifs)
DATE 2-A - CJ:I-
SITE ADDRESS /
TYPE OF
APPLICANT
STREET ADDRESU 1d1,10 UU.L,liu,Y?afi
TELEPHONE # qJ`Q- 3251 LPOCELL PHONE #
11sZle STATE&, ZI P ??3?
FAX#
PROPERTYOWNER'2,2)V2j46&TELEPHONE#(oS/° tIC7)
---------------°----------------------°------------------°-----------------------
COMPLETE THIS SECTION POR KNEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RL"LES 7672
(4submission type) . Residential Ventilation Category 1 Worksheet Su6mitted • New Energy Code Worksheet Su6mrtted
• Energy Envelope Calculatians Submitted
Piumbing Conhactor: __
Plumbing system includes:
Mechanical Coniractor:
Mcchanical system includes:
Sewer/Water Contractor.
_ Air Conditionin;
_ Heat Recovery System
MULTI-FAMILY BLDG _ Y `-"N
FIREPLACE(S) _ 0 _ 1 _ 2
Pee: $90.00
T?u??
Phone# rmn .1U1 1 7 2002
----------------------°------------------------...--------------°------------°-----•°- - ------------._...--------
I hereby acknowledge that I have read ihis application, state that the information is cou?c?? --?a?ree?rvc,c,r??Nly
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant 61(5:xp ??j°'
OETICF. USL ONI.Y
_ Water Softener
_ Watcr Heater
_ No. of Baths
RemodeVReoair Reauiremanh
. 2 copies of plan
• 1 set of Energy Calculahans for heated addNOns
. 1 site survey kr ptenor additlons 8 decks
. Indlcate if home served by septic system for additions
VALUATION qL'?r35. 7 Lf
Phone #
_ Lawn 5prinkler
_ No. oF R.I. Baths
Phone #
Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _
UpdateC 4102
OFFICE USE ONLY /O/Gl3 - I 13. 75
? 01 Foundation ? 07 05-plex ? 13 18•plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Owelling O OS 06-plex ? 16 Fireplace ? 27 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)• ? 43 Reroof O 46 WindowslDoors
? 34 Replacement 'Demolitian (Entire Bldg only) - Give PCA handaut to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered '
Type of Const Width
REQUIRED INSPECTIONS
_ Footings(new bldg) _ FinaUC.O.
_ Footings(deck) _ Final/No C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Tes[ _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply 8 Storage
S8W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Building Inspector
2005 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Constmction Reauiremenis
s
f
d
d
ll Remodelffteoair Reamrements
2 copies of pian 6ffite Use OnM
Eertn(Survey Recd ,' .
_Y ??N
roo
e
area
a
3 registered sde surveys showing sq fl of lol, sq ft of house, an 1 sel of Energy Calculations for healed adddions #reePres Plan Reed .'_ ._ Y-N
(200/. mmimum lot coverage allowed)
2 wpies o( plan showmg 6eam 8 window srzes, poured found design, elc 1 sde survey for addihons & decks
l
i Fr?e PrESFleqw[ed
-
Ortsite SeplieSysiem- =Y - N
Y-._ N
t set o( Energy Calculations c sys
em
Addrtron -mdicate donsde sept -
3 copies of Tree Preseroa6on Plan if lot platled afler 71i193
Rim Joist Detail Optlons seleclion sheet (bmldings with 3 or Iess units)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDINU
Mincieso[a Rules 7672
- Minnesota Rules 7670 Cate2orv 1 - New Ener code worksheet
Enefgy Code CategOry . Residential Ventilation Category 1 Worksheet • 91'
(d submission type) Submitted Su6mitted
. Energy Envelope Calculations Submi@ed
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 257, plan review
fee applies.
Licensed Plumber
Telephone #(
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurE
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of n
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start withot
permit; that the work will be in accordance with the approved plan in the case of work w ich requires a review t
approval of plans. / 417C::;E
JaJ'1e?% bu &/3
Applicant's Printed Name Ap licant's Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea )
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea )
? 04 02-plex ? 10 OB-plex ? 16 Deck ? 23 Porch (screen/gazebo)
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex P16g_Y or _ N ? 25 Miscellaneous
Work Types
? 30 Accessory Bldg
? 31 Ext Alt - Multi
? 33 Ext. Alt - S F
? 36 Multi Misc.
? 31 New ? 35 Int Improvement ? 38 Demolish Interior x 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building' ? 43 Reroof 46 Windows/Doors
n
34 Replacement
/1 "Demolition (EMire Bld g) - Give PCA handout to applicant
Valuation Occupancy MCES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bidgs Length ' Fire Sprinklered
Type of Const Width
REQUIIiED INSPECTIONS
_ Fooungs(new bldg) _ FinaVC.O.
_ Footings (deck) _ Fina]/No C.O.
_ Footings(addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Ice & Watcr
Roof Final _ Pool _ Ftgs _ Air/Gas Tests Final
_
_
_ Framing _ Siding _ Stucco _ Stone _ Brick
Fireplace
R.I.
AirTest _ Final _ Windows
_
_
_
_ ]nsulauon __ Retaining Wall
Approved By:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Building Inspector
??? /?iod uc?
,? 3?) E53
2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please comple[e for. single famity dwe0ings & rownhomes/condos when permits are required for each unit
Date D ?
Site Address /75Ze tT/4en'4 t01 1A Unit #
Property Owner " 4 O-'1-l Telephone # ( IG?'1 ) °?"(o-O ?S3
Contractor au/
StreetAddress -gog SvQ I7- City ???S?" La'A?
State A?i_1 v Zip Telephone #(4pS! )? ga???(o
Bond #: Expires:
The Applicant is _ Owner ? Contractor _ Other
Add-on or alteration to existing dwelling unit $ 30.00
? furnace _Additional ZReplacement - -
air exchanger ?
Y air conditioner _New „,,?teplacement
other
State Surcharge $ .50
Total $ G), bv
I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a
permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the
approved plan in the case of work which requires a review and approval of plans. •
Applicant's Printed Name ignature
2005 COMMERCIAL MECHANICAL PERMIT APPLICATION
City OfEagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: commercial/industrial buildings
mWti-family buildings when separate permits are not required for each dwelling uni[
Date
Site Street Address Unit #
Tenanf Name (if applicabie) Previous Tenant Name
Property Owner Telephone # ( )
Contractor
Street Address City
State Zip _ Telephone # ( )
Bond #: Expires:
The Applicant is Owner Contractor Other
Work Type
_ New Construction _ Underground Tank _ Install _Remove **see below
_ fnterior Improvement _ Install Piping _ Processed _Gas
Nature of Work:
*`When instal/ing/removing underground tank, call forinspection byFire Marshal and Plumbing Inspector
P¢rmlt FeeS: $70.50 Underground tank installa[ioNremoval
$50.50 Mhtfmum (includes Sla[e Sumharge)
or
ContractValue $ x 1% _ $ PermitFee
• If pe rmit fee is $1,000 or less, add $.50 => $ State Surcharge
If pe rmit fee is over $1,000, add $.50 for
every $1,000 ermit fee $ Tatal Fee
i hereby apply tor a Commercial Mechanical Permit and acknowledge that the information is complete and accurate; that the work
wil] be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is
not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with
the approved plan in the case of work which requires a review and approval of plans.
Applicant's Printed Name
Applicant's Signature
Approved By: , Inspector
use csuut or BLACK Ink
I For Office Use C~ I
Permit I
City of EanoR I o
Permit Fee: lr
3830 Pilot Knob Road
Eagan MN 55122 Date Received: j
Phone: (651) 675-5675 j Staff:
Fax: (651) 675-5694 L ________J
2 13 RESIDENTIAL PLUMBI G PERMIT APPLICATION
Date: / Site Address: ' t " z/& ((ye
Tenant: Suite
Resident/Owner Name: Phone: -
Address/ City zip: 5
Name: j License
Contractor Address: ~Z City:
State: Zip: Phone:
f~
Contact: Email: luR~~. M
-
Type of Work New ZeplacerriA Repair Rebuild Modify Space -Work in R.O.W.
-
Description of work: -A 1~ /'z;
RESIDENTIAL
Water Heater
Water Softener
Lawn Irrigation RPZ / - PVB)
Permit Type Add Plumbing Fixtures
Septic System L- Main / Lower Level)
Water Turnaround
New
Abandonment
RESIDENTIAL FEES:
$60.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$60.00 Lawn Irrigation (includes $5.00 State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
*Water Turnaround (add $189.00 if a 5/8" meter is required)
$105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
TOTAL FEES $
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in confor with the rdinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is 'ce
st wi ut a permit; that the work will be in
accorda with the approved plan i the case of work which requires a review and approval of p s.
x lz~ x
Ap icant's Printed Name Ap ' t' ig , e
FOR OFFICE USE Reviewed By: Date:
Required Inspections: -Under Ground -Rough-In Air_Test -Gas Test_ -Final
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA113470
Date Issued:09/04/2013
Permit Category:ePermit
Site Address: 1756 Hickory Hill
Lot:014 Block: 007 Addition: Woodgate 2nd
PID:10-84601-07-140
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes .
Jesse Haug
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
% Mers Us Bank Na Tste
3300 Sw 34th Ave Ste 101
Ocala FL 34474
7-10 Services Llc
5162 142nd Path W
Apple Valley MN 55124
(651) 238-4862
Applicant/Permitee: Signature Issued By: Signature